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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-slides.pptx
November 01, 2019 - agents: anti-pseudomonal carbapenems (meropenem, imipenem) ± vancomycin or linezolid1
Severe penicillin allergy … generation oral cephalosporin or amoxicillin-clavulanate (based on susceptibility results)
Severe penicillin allergy … Moxifloxacin can be considered for patients with serious penicillin allergies.
19
VAP
AHRQ Safety
-
www.ahrq.gov/sites/default/files/2024-07/middleton-wald-report.pdf
January 01, 2024 - patients and their doctor’s office, views of abstracted medical chart information (e.g. medications,
allergies … 2, the intervention phase, Arm 1 study practices offered consented patients VBJs
with medication, allergy … 2, the intervention phase, Arm 1 study practices offered consented patients
VBJs with medication, allergy … satisfaction with their
medical care with respect to patient-provider communication, medications, allergies … The rate of preventable and ameliorable adverse drug events (ADEs) and medication and
allergy list accuracy
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-one-pager.pdf
September 01, 2022 - recurrent AOM unresponsive to amoxicillin
• Alternative agents for children with nonsevere penicillin allergies … • Levofloxacin can be considered for children with severe penicillin allergies.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8a.html
October 01, 2014 - Ann Allergy Asthma Immunol 2004;92(6):611-8.
Butz A, Pham L, Lewis L, et al. … Ann Allergy Asthma Immunol 2003;90(3):308-15.
Smith SR, Jaffe DM, Fisher EB, Jr., et al. … Ann Allergy Asthma Immunol 2003;90(4):411-5.
Scariati PD, Roberge L, Dye T. … J Allergy Clin Immunol 2002;110(4):576-81.
Return to Contents
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www.ahrq.gov/sites/default/files/2024-12/kmetik-otoole-report.pdf
January 01, 2024 - Performance
Improvement® (PCPI) allow physicians to identify patients with exceptions (e.g., drug allergy … and
those with a valid exception (e.g., patient did not receive medication because of a documented
allergy … reasons found in the EHRs:
o clinical contraindication - 63.0%;
o drug intolerance - 19.3%;
o drug allergy … reasons found in the EHRs:
o clinical contraindication - 85.6%;
o drug intolerance – 5.7%;
o drug allergy … subcategorizing medical exceptions for these
types of measures into clinical contraindication, drug allergy
-
www.ahrq.gov/antibiotic-use/acute-care/diagnosis/index.html
June 01, 2021 - Practices in the Diagnosis and Treatment of Bacteremia
Approach to Patients Reporting Penicillin Allergies
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-facilitator-guide.pdf
November 01, 2019 - For patients with severe penicillin allergy, consider the
use of aztreonam, ciprofloxacin, or levofloxacin … If a patient has a severe penicillin allergy, consider a
respiratory fluoroquinolone such as levofloxacin … Moxifloxacin can be considered for
these low-risk patients if they have serious penicillin
allergies
-
www.ahrq.gov/news/newsletters/e-newsletter/925.html
August 01, 2024 - Health promotion of early and sustained allergenic food introduction for the prevention of food allergy … J Allergy Clin Immunol Pract . 2024 Jul;12(7):1670-83.e9. Epub 2024 May 23.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-guide.docx
September 01, 2022 - For patients with severe beta-lactam allergies, a respiratory fluoroquinolone such as moxifloxacin or … If the child has had a severe penicillin allergy, consider a respiratory fluoroquinolone or macrolide … A family history of penicillin allergies alone is not a reason to avoid penicillin therapy. … For patients with beta-lactam allergies, consider a fluoroquinolone as monotherapy.
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/smoking-cessation-flowchart.pdf
June 02, 2025 - Yes
*Exceptions for Tobacco Screening
· Patients with adverse effect, allergy or intolerance to tobacco
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-slides.pptx
September 01, 2022 - Penicillin or amoxicillin is first line in children and adults
No reported resistance
Mild penicillin allergy … generation cephalosporins such as cephalexin or cefadroxil
No reported resistance
Severe penicillin allergy
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-slides.pptx
June 01, 2021 - moxifloxacin or levofloxacin
11
Management RTI
11
Narrated Presentation
12
Link to Penicillin Allergy … poster
Bacterial Pneumonia in Long-Term Care one-pager
Approach to Patients With Reported Penicillin Allergy
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-10-workflow-mapping.pdf
September 01, 2015 - -I Take\lltalsigns -- signsandchlef n
open encounter oomprain1(s)
'-------'
Ae\l\EWand
verify allergies … active med list Yes MA does med-rec during rooming and makes or
pends updates in EHR
Maintain active allergy … list Yes MA has series of questions about allergies and is
responsible for this task
Record smoking … chronic refills, MA could do
the refill based on standing orders from clinician
Drug-drug and drug-allergy … to lab results, Yes Creating a secure patient portal is technical issue, but
problem and med lists, allergies
-
www.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
November 01, 2019 - immunocompromised status, history of drug-resistant infections, and presence of a severe penicillin allergy
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-e.html
May 01, 2017 - identification (name and date of birth)
|___| Procedure to be performed matches the consent
|___| Known allergies
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-slides.pptx
September 01, 2022 - severe arterial insufficiency, but is not associated with warmth or edema
Contact dermatitis or other allergic … reaction
Lesions of contact dermatitis are usually confined to the site of contact with the allergen … cases7
Treatment8-10
Oral first-generation cephalosporin
Oral amoxicillin/clavulanate
Severe PCN allergy … Infections
Human and animal bites5
Amoxicillin/clavulanate (not oral first-generation cephalosporins)
PCN allergy
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/037-ss-bed-bathing-chg-cloths-protocol.docx
April 01, 2025 - Protocol Overview
· Pre-op CHG bathing prior to surgery
· Do not apply CHG to patients with known CHG allergy
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-mailed-survey.pdf
June 01, 2025 - Specialists are doctors like surgeons, heart doctors, allergy doctors, mental health doctors,
and other … ☐ ☐ ☐
d) A list of your child’s allergies? … ☐ ☐
d) A list of your child’s allergies? … Specialists are doctors like surgeons, heart doctors, allergy doctors, mental health doctors,
and other … Did the written hospital stay summary you got include a list of your child’s allergies?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
January 01, 2003 - most commonly cited safety concerns were adverse events associated with drug-
drug interactions, drug allergies … The physicians also reported safety concerns involving “drug allergies and
side effects” (12 mentions … Concerns about drug allergies were mentioned
specifically with respect to prescriptions for antibiotics … In urgent cases you may not get the medical chart (and, therefore, not know
that the patient has an allergic … reaction to certain antibiotics).”
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CAP-one-page.docx
November 01, 2019 - clavulanate or oral second-/third-generation cephalosporins; reserve fluoroquinolones for severe penicillin allergy